Program Delivery Lead, Medicare Advantage Bid Operations

atHumanaRemoteUS flagNew YorkFull-timeOperationsSenior$138.2k – $190.1k/year

Posted 8 hours ago

This is a fully remote position, open to applicants in New York.

📋 Description

• Oversee and coordinate the annual Medicare Advantage bid planning, development, governance, and submission processes.

• Act as the primary coordination point among Product, Finance, Actuarial, Growth Strategy, Markets, Quality, and executive leadership teams.

• Create and manage the integrated annual bid plan calendar, which includes milestones, deliverables, dependencies, and CMS deadlines.

• Serve as the go-to expert for questions and feedback related to bid planning and execution process governance.

• Identify potential risks, issues, and dependencies while facilitating strategies for mitigation.

• Monitor the overall health of the program and escalate critical issues to leadership when necessary.

• Assist in conducting annual bid retrospectives and lessons-learned sessions.

• Establish and track key performance indicators (KPIs) related to bid process execution and stakeholder engagement.

• Collaborate on new plan expansion strategies with key strategic partners.

• Ensure that appropriate stakeholders, including executive leaders, are involved in discussions and decision-making processes.

• Organize governance meetings, create agendas, prepare pre-read materials, discussion guides, and follow-up actions.

• Maintain comprehensive documentation of decisions, approvals, assumptions, and action items; recommend unresolved issues for escalation.

• Enhance bid governance processes, decision-making forums, and planning methodologies.

• Cultivate relationships across teams including Product, Finance, Actuarial, Markets, Stars/Quality, Compliance, and Strategy.

• Promote alignment among teams with varying priorities and viewpoints.

• Ensure that stakeholders comprehend their responsibilities, timelines, and expected outcomes during the bid cycle.

• Plan and facilitate workshops, strategy sessions, governance meetings, and executive forums.

• Coordinate meeting logistics, attendance, communication, and follow-up activities.

• Uphold forum charters and rules of order to ensure effective outcomes and decisions.

• Prepare presentation materials for executives in collaboration with Growth Strategy teammates.

• Communicate program status, risks, decisions, and emerging issues to leadership effectively.

• Assist executives in preparing significant bid-related updates for the Board through provision of talking points and preparation sessions.


⛳️ Requirements

• Bachelor's Degree from an accredited institution.

• 5+ years of experience in program management, project management, operations, strategy, consulting, or a related field.

• Proven experience in leading complex, cross-functional initiatives that involve multiple stakeholder groups.

• Demonstrated success in managing executive-level meetings, governance forums, or strategic planning processes.

• Ability to influence outcomes without direct authority.

• Strong skills in facilitation, communication, and stakeholder management.

• Exceptional organizational, planning, and execution capabilities.

• Experience in developing executive presentations and written communications.

• Background in supporting Medicare Advantage, Medicare Part D, healthcare product development, or regulated business operations.

• Knowledge of Medicare Advantage bid processes, CMS requirements, healthcare regulatory environments, or annual planning cycles.

• Experience leading enterprise PMO, governance, or transformation initiatives.

• MBA, MHA, MPH, or another relevant advanced degree.

• Certification in PMP, PgMP, Lean Six Sigma, Agile, or Change Management.

• Experience working directly with executive leadership teams.

• Minimum home internet speed of 25 Mbps download and 10 Mbps upload.

• Ability to work from a dedicated space free of ongoing interruptions to protect member PHI/HIPAA information.


🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Personal wellness support.

• Smart healthcare decision support.

• Occasional travel to Humana offices for training or meetings.

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